S&C QCOR HHA 2567s
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HHAs 2567s
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Time Interval

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Provider Characteristics

Use these filters if you want to limit the report to providers that have certain characteristics. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

Survey Type & Deficiency Tags

Use these filters if you want to limit the reports to providers on specific survey types, or to reports that were cited for specific HHA deficiency tags and tag types. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

CCN and Facility Name

Use these filters if you know the name (or partial name) of the facility you are searching for, or the CMS Certification Number (CCN) for the facility you are searching for.

Other Survey Characteristics

Select one of the options below to filter by surveys that cite deficiencies or by surveys that are deficiency-free. By default, only surveys that cite deficiencies are displayed. Selecting "All" displays all surveys.

CMS Certification Number Facility Name Address City State CMS Region Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 108097 Distinguished Home Health Care Services, Inc. 11011 Sheridan St Ste 206 Cooper City FL 4 (Atlanta) 11/19/2020 KTR911 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0606 Integrate all services Element
▼ 108105 Angel Home Health Care Inc 1401 E 4th Ave Ste 202 Hialeah FL 4 (Atlanta) 11/06/2019 DN2O11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0037 EP Training Program Standard
▼ 108107 Absolute Home Care, Inc 1301 E Broward Blvd Ste 250a Fort Lauderdale FL 4 (Atlanta) 01/31/2018 EOQT11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0576 All orders recorded in plan of care Element
G0608 Coordinate care delivery Element
▼ 108109 Patients First Homecare, Llc 4525 140th Ave N Suite 906 Clearwater FL 4 (Atlanta) 03/20/2019 6MRO11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
G0948 Responsible for all day-to-day operations Element
▼ 108113 Activa Health Services Inc 729 Sw Federal Hwy Ste 222 Stuart FL 4 (Atlanta) 03/03/2020 YY0T11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
▼ 108114 Home Health By Gulf Coast Village 1435 Santa Barbara Blvd Unit 1 Cape Coral FL 4 (Atlanta) 10/30/2019 0J0R11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
G0438 Have a confidential clinical record Element
▼ 108120 Omni Home Care 2211 S Highway 77 Ste 204 Lynn Haven FL 4 (Atlanta) 04/25/2019 NTU411 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0526 Content of the comprehensive assessment Standard
G0572 Plan of care Standard
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0716 Preparing clinical notes Element
▼ 108138 Southeast Homecare Corporation 3125 W Commercial Blvd Ste 110 Fort Lauderdale FL 4 (Atlanta) 04/01/2021 1HK911 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0580 Only as ordered by a physician Element
G0608 Coordinate care delivery Element
G1012 Required items in clinical record Element
▼ 108138 Southeast Homecare Corporation 3125 W Commercial Blvd Ste 110 Fort Lauderdale FL 4 (Atlanta) 12/05/2018 URMC11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0598 Discharge plans communication Element
▼ 108146 Boca Home Care Inc 3600 Fau Blvd Ste 201 Boca Raton FL 4 (Atlanta) 09/14/2023 60D9F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0440 Payment from federally funded programs Element
G0574 Plan of care must include the following Element